JACK GOLD (NPI# 1235479882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235479882 |
| Entity Type | Individual |
| Full Name | JACK GOLD |
| Credential | M.D. |
| Practice Address |
4425 Upland Dr Erie PA 16509-1654 |
| Practice Telephone | 8148665630 |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2013-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD004384E | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831141654 | Jack Deems Gold | Psychologist | 15151 S Us Highway 441 Ste 300, Summerfield, FL 34491-4482 | 2006-05-17 |
| Street Address |
4425 UPLAND DR |
| City | ERIE |
| State | PA |
| Zip Code | 16509-1654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598243073 | Austin Dudenhoefer | Physical Therapist | 8270 Peach St Ste 400, Erie, PA 16509 | 2018-08-06 |
| 1770092884 | Latasha Marie Phillips | Social Worker | 5100 Peach Street, Erie, PA 16509 | 2017-09-21 |
| 1932621307 | Mitchell Meagher | Internal Medicine | 5515 Peach St., Attn: Medical Education, Erie, PA 16509 | 2017-07-07 |
| 1760903702 | Tricia Lee Cubitt | Social Worker | 4756 Springview Drive, Apartment 310, Erie, PA 16509 | 2017-06-29 |
| 1790191617 | Ashley Russell | Physical Therapy Assistant | 1267 South Hill Road, Erie, PA 16509 | 2014-07-11 |
| 1295084085 | Michael David Mccafferty | Internal Medicine | 5332 Rome Court Drive, 301, Erie, PA 16509 | 2012-09-07 |
| 1427303619 | Michelle Mary Dillaene Tobin | Social Worker | 828 W. Gore Road, Erie, PA 16509 | 2012-07-13 |
| 1962761411 | Moshood B Martins | Dentist | 7040 Peach Street, Erie, PA 16509 | 2012-05-03 |
| 1770854549 | Peach Street Dental & Dentures, PC. | Dentist | 7040 Peach St, Erie, PA 16509 | 2012-01-25 |
| 1881989515 | Richard R Sambuchino | Dentist | 4944 Peach Street, Erie, PA 16509 | 2011-06-10 |
| Find all providers in zip 16509 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467626283 | Ravi Kumar Chekka | Pediatrics | 1611 Peach St Ste 300, Erie, PA 16501-2122 | 2008-04-14 |
| 1811968498 | Stephanie F Russo | Pediatrics | 3910 Caughey Rd, Suite 170, Erie, PA 16506-4096 | 2006-01-31 |
| 1215917166 | Sant Ram | Pediatrics | 2123 W 8th St, Erie, PA 16505-4743 | 2006-01-18 |
| 1124029301 | Lynne M Birkmeyer | Pediatrics | 4022 Zuck Road, Your Pediatric Connection West, Erie, PA 16506-4592 | 2005-08-10 |
| 1780684589 | Andrea Javier Fadrigo | Pediatrics | 4022 Zuck Rd, Erie, PA 16506-4592 | 2005-07-22 |
| 1376549998 | Samuel Allen Fagenholz | Pediatrics | 300 State St Ste 301, Erie, PA 16507-1430 | 2005-06-28 |
| 1093718124 | Joseph C Barber | Pediatrics | 3580 Peach St, Erie, PA 16508-2776 | 2005-05-23 |
| 1487153144 | Pediatric Care Center of Erie, PC | Pediatrics | 1611 Peach St Ste 300, Erie, PA 16501-2122 | 2018-02-08 |
| 1861857534 | Children's Community Care | Pediatrics | 3910 Caughey Rd, Suite 170, Erie, PA 16506-4096 | 2015-12-23 |
| 1700276896 | Sviatlana Sirash | Pediatrics | 201 State St, Erie, PA 16550-0002 | 2015-01-28 |
| Find all providers in ERIE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.